uso científico del término preembrión

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SCIENTIFIC USE OF THE TERM ‘PRE-EMBRYO’
Justo Aznar MD, PhD
Director of the Institute of Life’s Science of the Catholic University of
Valencia, Spain.
Attempts are often made through semantic manipulation to distort
biological reality, particularly when this has ethical connotations, and above
all if this biological reality is related with new human life, since it should not
be forgotten that it is in that period of time in which the life of a human being
is suffering a higher number of attacks.
In this context, a paradigmatic example of what we have mentioned is the use
of the term ‘pre-embryo’, which, in our opinion, does not have any scientific
basis but does however have clear ideological, when not political
intentionality.
In order to evaluate whether there is indeed a scientific basis for using the
term ‘pre-embryo’, we thought that it would be interesting to analyse the
frequency with which it is used today in biomedical literature, since surely the
frequency of its use will make it irrefutably clear if said term does or does not
define a biological entity with its own characteristics, different to the embryo,
and consequently with a scientific basis to be accepted as a differential stage
of embryonic life.
With this objective, we reviewed some previous data from the literature which
refer to the term ‘pre-embryo’, but in particular we carried out a personal

[email protected]
review of this topic in the period between 1997 and 2009, using PubMed as a
search instrument.
The term ‘pre-embryo’ was first used in 1986 (1-3), based on the
criterion, arbitrarily proposed in 1984 by the Warnock Commission (4), which
established that human embryos could be manipulable up to 14 days after
impregnation of the oocyte by the sperm cell, although said Commission
admitted, in the same document, that the life of the human embryo begins
specifically with fertilisation.
However, in our opinion, the use of the term ‘pre-embryo’ is not only a
semantic manipulation aimed at depriving the early embryo of its fundamental
biological characteristic of living human being, but it is also a serious
biological mistake, since it seems to us that there is no scientific reason which
justifies calling the human pre-implantation embryo a ‘pre-embryo’. For most
experts the pre-embryo, biologically speaking, does not exist, so the term that
identifies it as such is becoming less frequently used in scientific literature.
To confirm this, we reviewed how science currently uses the term ‘preembryo’; unsurprisingly, we were able to verify that its use is very limited.
In a review on the use of the term ‘pre-embryo’ published in 1997 (5),
in which the authors used Medline as the data source, they were able to show
that between the years 1991 and 1996, the term ‘pre-embryo(s)’ only appeared
83 times in the scientific literature, compared to 28,434 for the term
‘embryo(s)’. Something similar was observed in another review by Ferrer and
Pastor (6), who analysed the same topic, although on a larger scale. These
authors found, also using Medline as a data source, that between 1991 and
1997, the word ‘pre-embryo’ appeared in the title of scientific articles 55
times (13 in 1991; 10 in 1992; 9 in 1993; 8 in 1994, 6 in 1995; 7 in 1996 and 2
in 1997). On the contrary, the term ‘embryo(s)’ appeared 36,301 times. In
other words, the minority use of the term ‘pre-embryo’ in medical literature is
evident, and not because this area of science is in decline, since together with
the scant use of the word ‘pre-embryo’, we can see the large number of
occasions on which the term ‘embryo’ was used.
However, analysing the use of the term ‘pre-embryo’ from 1997 to
2009, and in this case using PubMed as the information source, it was found
that in those 13 years, the term ‘pre-embryo’ appeared just 20 times in the title
of scientific papers: 2 in 1997 (7-9), 3 in 1998 (10-12), 1 in 1999 (13), 1 in
2000 (14), 1 in 2001 (15), 2 in 2002 (16 and 17), 2 in 2003 (18 and 19), 1 in
2004 (20), 3 in 2005 (21, 22 and 23), 2 in 2007 (24, 25) and 1 in 2008 (27).
This clearly demonstrates the lack of scientific interest currently aroused by
this term.
If we look a little more closely at the latter data, of the 20 papers
published which use the word ‘pre-embryo’ in their title, only 16 (8, 9, 11-14,
17, 18, 20-27) were in scientific journals. Furthermore, one of the cases was
published in a local journal (14), and three of the others were reviews (8, 9,
13). Therefore, there were only 12 original articles published during those
years in international journals (11, 12, 17, 18, 20-27) in which the term ‘preembryo’ was used in the title. In other words, 0.92 times per year. Moreover,
if we take into account that three of the 16 studies reported (18, 20, 23) were
from the same group, it can be stated that, in reality, only 13 scientific groups
have used the word ‘pre-embryo’ in the title of an experimental study during
the last 13 years.
Another interesting aspect to consider is that none of them were
published in leading scientific journals (those with an impact factor greater
than 15), top quality journals (impact factor between 10 and 14) or even
comparative journals (impact factor between 5 and 9). Only 10 (11, 18, 20-27)
were published in mid-quality journals (impact factor between 3 and 4) and
the other two (12, 17) were in journals of a lesser scientific standing (impact
factor less than 1).
In summary, the above data support the finding that the term ‘preembryo’ is practically outside the current scientific context, and that its use, in
most cases, has a more ideological than scientific connotation, all with the aim
of depriving the embryo of its ontological status of living human being, to thus
be able to manipulate it without greater ethical responsibility.
Justo Aznar
Key words: Pre-embryo, implantation embryo and human embryo.
Summary:
Certain scientific bodies and some social groups occasionally promote the use
of the term ‘pre-embryo’ to designate pre-implantation embryos. Given that
the use of said term appears devoid of the most fundamental scientific basis,
we reviewed its use in the specialised literature during the years 1997 to 2009,
confirming that the use of the term ‘pre-embryo’ is minimal; consequently, we
consider that there is no objective reason to continue using it, and that when it
is used, this may be motivated more by ideological interests than by scientific
reasons.
Bibliography
1. Leach P. Human in vitro fertilisation: an explanatory note prepared
by Dr. Penelope Leach, in The First Report of de voluntary licensing
authority for human in vitro fertilisation and embryology, London:
The Medical Research Council, 1980; Annex 3: 39-40.
2. American Fertility Society. Ethical consideration of the new
reproductive technology. Fertil Steril 1986; 46 suppl: 1s-94s.
3. McLaren A, Book G, O’Connor M. Human Embryo research; Yes or
No? The CIBA foundation, London: 1986; 5-23.
4. Committee of inquiry into human fertilisation and embryology.
Warnock Report, London: Department of Health and Social Security,
1984.
5. Velayos JL, Moreno J, García J, Martín V, Alonso J. El comienzo de
la vida humana y su tratamiento en el Medline. Cuadernos de
Bioética 1997; 8: 1119-1121.
6. Ferrer M, Pastor LM. Génesis y uso del término “pre-embrión” en la
literatura científica actual. Persona y Bioética 1998; 2: 1-27.
7. Kischer CW. The big lie in human embryology: the case of the
preembryo. Linacre A 1997; 64: 53-61.
8. Eisenberg VH, Schenker JG. The ethical, legal and religious aspects
of preembryo research. Eur J Obstet Reprod Biol 1997; 75: 11-24.
9. Eisenberg VH, Schenker JG. Preembryo research: medical aspects
and ethical considerations. Obstet Gynecol Surv 1997; 52: 565-574.
10. Katz DA. My egg, your sperm, whose preembryo? A proposal for
deciding which party receives custody of frozen preembryos. Va J
Soc Policy Law 1998; 5: 623-674.
11. Barmat LI, Liu HCh, Spandorfer SD et al. Human preembryo development
on autologous endometrial coculture versus conventional medium. Fertil
Steril 1998; 70: 1109-1113.
12. Palmstierna M, Murkes D, Csemiczky G, Andersson O, Wramsby H.
Zona pellucida thickness variation and occurrence of visible
mononucleated blastomers in preembryos are associated with a high
pregnancy rate in IVF treatment. J Assist Reprod Genet 1998; 15: 70-75.
13. Pellegrino ED. The pre-embryo: an illusory category of convenience.
Pediatr Rev 1999; 20: e32-34.
14. Kably A, Barron J, Tapia RC and Krivitsky SK. Effect of blood
concentrations of preovulatory estradiol on the quality of eggs and
pre-embryos in patients treated with fertilization in vitro. Ginecol
Obstet Mex 2000; 68: 435-441.
15. No authors. Family law- contract- Supreme Court of New Jersey
holds that preembryo disposition agreements are not binding when
one party later objects. –J.B. v. M.B., No. A-9-00, 2001 WL 909294
(N.J. Aug. 14, 2001). Harv Law Rev 2001; 115:701-708.
16. Warburg AY. Solomonic decisions in frozen preembryo disposition:
unscrambling the halakhic conundrum. Tradition 2002; 36: 31-44.
17. Weischselbaum A, Paltieli Y, Philosoph R, Rivnay B, Coleman R,
Seibel MM, Bar-Ami S. Improved development of very-poor-quality
human preembryos by coculture with human fallopian ampullary
cells. J Assist Reprod Genet 2002; 19: 7-13.
18. Ziebe S, Lundin K, Loft A et al. for the CEMAS II and III Study Group.
FISH analysis for chromosomes 13, 16, 18, 21, 22, X and Y in all
blastomeres of IVF pre-embryos from 144 randomly selected donated
human oocytes and impact on pre-embryo morphology. Human Reprod
2003; 18: 2575-2581.
19. Dillon LM. Conundrums with penumbras: the right to privacy
encompasses non-gamete providers who create preembryos with the intent
to become parents. Wash Law Rev 2003; 78: 625-651.
20. Bergh C, Loft A, Lundin K et al. for the CEMAS II Study Group.
Chromosomal abnormality rate in human pre-embryos derived from in
vitro fertilization cycles cultured in the presence of Follicular-Fluid
Meiosis activating Sterol (FF-MAS). Human Reprod 2004; 19: 2109-2117.
21. Saldeen P and Sundström P. Nuclear status of four-cell preembryos
predicts implantation potential in vitro fertilization treatment cycles.
Fertil Steril 2005; 84: 584-589.
22. Payne JF, Raburn DJ, Couchman GM et al. Relationship between preembryo pronuclear morphology (zygote score) and standard day 2 or 3
embryo morphology with regard to assisted reproductive technique
outcomes. Fertil Steril 2005; 84: 900-909.
23. Loft A, Ziebe S, Erb K, Rasmussen PE et al. Impact of follicular-fluid
meiosis-activating sterol in an albumin-based formulation on the incidence
of human pre-embryos with chromosome abnormalities. Fertil Steril 2005;
84 (Suppl 2): 1269-1276.
24. Nicoli A, Valli B, Di Girolamo et al. Limited importance of pre-embryo
pronuclear morphology (Zygote score) in assisted reproduction outcome in
the absence of embryo cryopreservation. Fertil Steril 2007; 88 (Suppl 4);
1167-1173.
25. Murine pre-embryo oxygen consumption and developmental competence.
Ottosen LD, Hindkjaer J, Lindenberg S, Ingerslev HJ. J Assist Reprod
Genet 2007; 24: 359-365.
26. Effect of a woman’s smoking status on oocyte, zygote and day 3 preembryo quality in in vitro fertilization and embryo transfer program.
Gruber I, Just A, Birner M, Losch A. Fertil Steril 2008: 90: 1249-1252.
27. Jordaan DW .Criteria for pre-embryo research in South Africa: an analysis
within the paradigm of respect for the pre-embryo.
Med Law. 2008; 27: 417-437.
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